Anaesthetic management of a patient with thoracopagus

We report the case of a 10-day-old male child weighing 3.5 kg, with mass over the sternal region, a set of four limbs and an omphalocoele that had undergone surgical separation. An exoparasitic twin had fully developed hind limbs, well-developed genitalia, one fully developed upper limb and another, underdeveloped upper limb. Echocardiography and a computed tomographic scan revealed no gross cardiac anomaly and the sharing of any other major organ was absent. The limbs of the parasite were lying in front of the neck and interfered with holding the mask in position. One anaesthetist held these limbs apart. We avoided the use of muscle relaxant out of fear that the large mass could hamper ventilation. The neonate was intubated successfully under deep inhalation anaesthesia. He had an uneventful recovery.Keywords: thoracopagus; anaesthetic managemen

Role Of Kunapa Jala For The Overall Enhancement And Growth Of Prishnaparni

Vrikshayurveda is a traditional branch of botany that studies plant growth and development. This science mostly recommends using Kunapa jala and Pancha gavya to increase crop output. This idea is around using organic farming to grow plants effectively. Kunapajala, is an organic liquid manure that is a by-product of fermentation and serves as a source of plant nutrients, was stated by Vrikshayurveda. The two main forms of Kunapajala used in practises are herbal and non-herbal, and both are made in accordance with the steps outlined in Vrikshayurvedha. Given its significance, we designed a study to examine the contribution of the Vrikshayurvedha idea to the evolution of medicinal plants; Prishniparni. Present study evaluated role of Kunapajala in the growth and % yield of plant Prishniparni. This study observed that Kunapajala treatment provides best response with respect to root yield and soil physico-chemical parameters. The yield of plant improved quantitatively as well as qualitatively after the use of Kunapajala

Electroosmotic flow of biorheological micropolar fluids through microfluidic channels

An analysis is presented in this work to assess the influence of micropolar nature of fluids in fully developed flow induced by electrokinetically driven peristaltic pumping through a parallel plate microchannel. The walls of the channel are assumed as sinusoidal wavy to analyze the peristaltic flow nature. We consider that the wavelength of the wall motion is much larger as compared to the channel width to validate the lubrication theory. To simplify the Poisson Boltzmann equation, we also use the Debye-Hückel linearization (i.e. wall zeta potential ≤ 25mV). We consider governing equation for micropolar fluid in absence of body force and couple effects however external electric field is employed. The solutions for axial velocity, spin velocity, flow rate, pressure rise and stream functions subjected to given physical boundary conditions are computed. The effects of pertinent parameters like Debye length and Helmholtz-Smoluchowski velocity which characterize the EDL phenomenon and external electric field, coupling number and micropolar parameter which characterize the micropolar fluid behavior, on peristaltic pumping are discussed through the illustrations. The results show that peristaltic pumping may alter by applying external electric fields. This model can be used to design and engineer the peristalsis-lab-on-chip and micro peristaltic syringe pumps for biomedical applications

The Cholecystectomy As A Day Case (CAAD) Score: A Validated Score of Preoperative Predictors of Successful Day-Case Cholecystectomy Using the CholeS Data Set

Background Day-case surgery is associated with significant patient and cost benefits. However, only 43% of cholecystectomy patients are discharged home the same day. One hypothesis is day-case cholecystectomy rates, defined as patients discharged the same day as their operation, may be improved by better assessment of patients using standard preoperative variables. Methods Data were extracted from a prospectively collected data set of cholecystectomy patients from 166 UK and Irish hospitals (CholeS). Cholecystectomies performed as elective procedures were divided into main (75%) and validation (25%) data sets. Preoperative predictors were identified, and a risk score of failed day case was devised using multivariate logistic regression. Receiver operating curve analysis was used to validate the score in the validation data set. Results Of the 7426 elective cholecystectomies performed, 49% of these were discharged home the same day. Same-day discharge following cholecystectomy was less likely with older patients (OR 0.18, 95% CI 0.15–0.23), higher ASA scores (OR 0.19, 95% CI 0.15–0.23), complicated cholelithiasis (OR 0.38, 95% CI 0.31 to 0.48), male gender (OR 0.66, 95% CI 0.58–0.74), previous acute gallstone-related admissions (OR 0.54, 95% CI 0.48–0.60) and preoperative endoscopic intervention (OR 0.40, 95% CI 0.34–0.47). The CAAD score was developed using these variables. When applied to the validation subgroup, a CAAD score of ≤5 was associated with 80.8% successful day-case cholecystectomy compared with 19.2% associated with a CAAD score >5 (p < 0.001). Conclusions The CAAD score which utilises data readily available from clinic letters and electronic sources can predict same-day discharges following cholecystectomy

Image encryption based on permutation-substitution using chaotic map and Latin Square Image Cipher

In this paper we presented a image encryption based on permutation-substitution using chaotic map and Latin square image cipher. The proposed method consists of permutation and substitution process. In permutation process, plain image is permuted according to chaotic sequence generated using chaotic map. In substitution process, based on secrete key of 256 bit generate a Latin Square Image Cipher (LSIC) and this LSIC is used as key image and perform XOR operation between permuted image and key image. The proposed method can applied to any plain image with unequal width and height as well and also resist statistical attack, differential attack. Experiments carried out for different images of different sizes. The proposed method possesses large key space to resist brute force attack

Influence of Punica granatum L. on region specific responses in rat brain during Alloxan-Induced diabetes

Objective: The present study was carried out to investigate the effects of Punica granatum peel methanolic extract (PGPE) on cerebral cortex (CC) and Hippocampus (HC) brain antioxidant defense system and markers of lipid and protein oxidation in alloxan induced diabetic rats. Methods: Oral administration of PGPE (75 and 150 mg of kg body weight) for 45 days resulted in significant reduction in blood glucose levels. Results: Supplementation of diabetic rats with PGPE showed increased activities of SOD and GPx with concomitant decrease in MDA and PC content. Region-specific changes were more evident in the HC when compared to CC. Conclusions: The present study indicated that PGPE can ameliorate brain oxidative stress in alloxan induced diabetic rats by up regulating antioxidant defense mechanism by attenuating lipid and protein oxidation. PGPE thus may be used as a potential therapeutic agent in preventing diabetic complications in the brain. © 2012 Asian Pacific Tropical Biomedical Magazine

Potentials of Curcumin as an Antidepressant

Major depression, a debilitating psychiatric disorder, is predicted to be the second most prevalent human illness by the year 2020. Various antidepressants, ranging from monoamine oxidase inhibitors to recently developed dual reuptake inhibitors, are prescribed for alleviating the symptoms of depression. Despite the availability of these blockbuster molecules, approximately 30% of depressed patients do not respond to the existing drug therapies and the remaining 70% fails to achieve complete remission. Moreover, antidepressants are associated with a plethora of side effects and drug-drug/drug-food interactions. In this context, novel approaches are being tried to find more efficacious and safer drugs for the treatment of major depression. Curcumin is one such molecule that has shown promising efficacy in various animal models of major depression. Although the mechanism of the antidepressant effect of curcumin is not fully understood, it is hypothesized to act through inhibiting the monoamine oxidase enzyme and modulating the release of serotonin and dopamine. Moreover, evidences have shown that curcumin enhances neurogenesis, notably in the frontal cortex and hippocampal regions of the brain. The use of curcumin in clinics for the treatment of major depression is limited due to its poor gastrointestinal absorption. The present review attempts to discuss the pharmacological profile along with molecular mechanisms of the antidepressant effect of curcumin in animal models of depression. A need for clinical trials in order to explore the antidepressant efficacy and safety profile of curcumin is emphasized